Chronic Care Coordinator CMA or LPN - Hybrid - Jaan Health, Inc.

Phamily is assisting in placing a registered MA or LPN for a Chronic Care Navigator role (hybrid position after a probationary time 2-3 days in office once hybrid) with Nephrology & Hypertension Associates. The selected candidate will work within the hospital system and use the Phamily Chronic Care Management platform to manage and coordinate care for patients with chronic conditions.

Qualifications:

• Minimum 2 years’ experience as CMA.
• Strong communication and multitasking skills.
• Proven problem-solver
• Experience in medical office
• Experience with EHR/EMR systems and population health is highly desirable.
• Nephrology Experience. Experience in population health preferred.

The Chronic Care Coordinator is a certified medical assistant or licensed practical nurse who supports the development of patient-centered, team-based care. S/he will support primary care physicians (PCPs) and practices in managing their panel of patients using the Phamily platform. For more information, visit: Phamily CCM Platform

By gathering and organizing patient data, the Chronic Care Navigator works to identify patients’ unmet needs, engage patients in their own care, gather summary information for treatment interventions, and enhance ongoing communication between the patient and her/his care team. The goal of the Chronic Care Management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment. Each Care Manager will be expected to manage a 500 patient caseload with 300 billable by the end of month. 

Disclaimer: While each role is initially screened by the Phamily team, the ultimate hiring and hiring decisions will be made by the client’s hiring team.

Requirements

Key Responsibilities:

• Collaborate with primary care teams to manage chronic disease patients using the Phamily platform.
• Contribute to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary.
• Provide the members of health care teams in designated practices with the data required to meet the health needs of the patient.
• Organize patient data, identify unmet needs, and enhance communication between patients and their care teams.
• Engage in quality improvement efforts and support care redesign strategies.
• Work as an effective team member of the care team.
• Perform all job functions in compliance with applicable federal, state, local and company policies and procedures.
• Manage a caseload of 500 patients, with 300 billable by the end of each month.
• Provide data to the care teams to properly perform these processes.
• Assist care teams by providing accurate and relevant data to improve patient care.
• Other duties assigned.

Benefits

Compensation & Benefits:

• Pay: $18-$24/per hour depending on experience
• Medical, Dental and Vision (retirement plan – when eligible)
• Paid Time Off